| NPI | 1962128686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC22545) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0135750) | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2025-01-29 |